PARENT’S GATE

NO GATE PASS NO ENTRY

PASS

I authorize the following persons to pick

RALF MATHEW N. ABAO
up my child after class hours.
Name of Student

GRADE 5 - EXPRESSIVE Paste 2x2 picture Paste 2x2 picture

Grade / Section
Grade/Section

JECK ABAO
_____________________ ______________________
Name of Student
Name of Parent/ Guardian
--------------

KATHERINE R. DAHANG, LPT Paste 2x2 picture

Class Adviser

JOENARD EDDIE “JOY” A. TALIAN, MAEED

Elementary Principal _______________________
Parents/ Guardians must wear proper attire upon visiting the school
premises. Name and Picture of Authorized Person
Contact Number: __________________

PARENT’S GATE NO GATE PASS NO ENTRY

PASS
I authorize the following persons to pick
ALFRED ADAM S. ABILLE
up my child after class hours.
Name of Student
Name of Student --------------

GRADE 5 - EXPRESSIVE Paste 2x2 picture Paste 2x2 picture

Grade / Section
Grade/Section

DARLYN A. SUAZO
_____________________ ______________________
Name of Student
Name of Parent/ Guardian
------------

KATHERINE R. DAHANG, LPT Paste 2x2 picture

Class Adviser

JOENARD EDDIE “JOY” A. TALIAN, MAEED

Elementary Principal ____________________
Name and Picture of Authorized Person
Parents/ Guardians must wear proper attire upon visiting the school
premises. Contact Number: __________________